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December 27, 1890


JAMA. 1890;XV(26):920. doi:10.1001/jama.1890.02410520004002

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Treatment of Blepharospasm.  —This annoying and at times intractable affection is treated by Giraud ( Thése de Paris) by forcible dilatation Under cocaine anæsthesia the lids are widely separated, by a pair of retractors, or a spring speculum. The separation of the lids is carried to the degree of exposing the conjunctival cul-desac, and it is maintained for three or four minutes. Only in rare cases must this procedure be repeated more than three or four times.

Photophobia Cured by Anæsthesia of the Gasserian Ganglion.  Guttierez-Ponce, in the Recueil d' Ophthal., relates the circumstances attending this somewhat novel procedure. The patient, a boy, aged 13, suffering from acute diffuse keratitis, was attacked with violent sneezing as soon as the lids were opened and light fell upon the cornea. This the writer attributed to direct irritation of the branches of the ophthalmic division of the fifth pair of nerves supplying the

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